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Michigan rates for HCPCS 42890

Limited Pharyngectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,802.78 / $4,933.00 / $6,853.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.55 / $5,493.44 / $7,363.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,455.22 / $4,933.00 / $6,853.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,702.00 / $10,351.00